Kim Michael B, Sarelius Ingrid H
Department of Biomedical Engineering, University of Rochester, Rochester, NY 14642, USA.
Microcirculation. 2003 Apr;10(2):167-78. doi: 10.1038/sj.mn.7800182.
Wall shear stress regulates a variety of vascular functions and can be affected by variations in blood viscosity and wall shear rate independently. Therefore, the distribution of wall shear stress was characterized in converging flow regions of postcapillary venules to identify the relative contributions of shear rate and viscosity to wall shear rate and to determine whether venular branching directly affects the local shear environment.
Blood viscosity was evaluated as a function of vessel diameter and hematocrit, determined from fluorescent red blood cell (RBC) flux. Wall shear rate was measured directly from velocity profiles acquired using fluorescent RBC tracking or was estimated assuming Poiseuille flow conditions. Wall shear stress was calculated for measurements made across regions of converging flow.
Measurements of wall shear stress showed no significant variation with location across the convergence (p < 0.9). Measures of viscosity showed little variation, for local measures of hematocrit (2.9 +/- 0.1 cp; coefficient of variation [CV]: 12%) or systemic hematocrit (3.4 +/- 0.1 centipoise [cp]; CV: 14%). Measures of wall shear rate showed greater variability for both direct measurements (61.2 +/- 8.7s; CV: 92%) and estimates assuming Poiseuille flow (122.7 +/- 15.7 s; CV: 83%).
Variations in wall shear stress are independent of location through a venular convergence in contrast to arteriolar bifurcations. In addition, wall shear rate is significantly more variable than viscosity and, therefore, primarily accountable for wall shear stress variations in postcapillary venules.
壁面剪应力调节多种血管功能,并且可分别受血液粘度和壁面剪应变率变化的影响。因此,本研究对毛细血管后微静脉汇合流区域的壁面剪应力分布进行了表征,以确定剪应变率和粘度对壁面剪应变率的相对贡献,并确定微静脉分支是否直接影响局部剪切环境。
根据荧光红细胞(RBC)通量测定血液粘度作为血管直径和血细胞比容的函数。壁面剪应变率通过使用荧光RBC跟踪获取的速度剖面直接测量,或者在假设泊肃叶流动条件下进行估算。针对汇合流区域的测量结果计算壁面剪应力。
壁面剪应力测量结果显示,在汇合区域内,其值随位置无显著变化(p < 0.9)。粘度测量结果显示变化很小,局部血细胞比容测量值为(2.9 +/- 0.1厘泊;变异系数[CV]:12%),全身血细胞比容测量值为(3.4 +/- 0.1厘泊[cp];CV:14%)。壁面剪应变率测量结果显示,直接测量值(61.2 +/- 8.7s;CV:92%)和假设泊肃叶流动的估算值(122.7 +/- 15.7 s;CV:83%)的变异性都更大。
与小动脉分支不同,壁面剪应力的变化在微静脉汇合处与位置无关。此外,壁面剪应变率的变异性显著大于粘度,因此,它是毛细血管后微静脉壁面剪应力变化的主要原因。